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employee of a sub-contractor who has been adjudicated to be a registered sex offender will perform work at
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may result in the cancellation of the purchase order at the TIPS Member’s discretion.
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Proposal to the Solicitation. The Vendor may submit an acceptable use directive for Vendor’s nam-(
&)!)-1#."1"#" !,-.))'*&38(3/-) ('(&)!)),(3 ),') */&##.35#(&/-#0)
*,--,&-5,!,#(!."#-!,'(.31,0(),'/-."0*,#),**,)0& ,)' 1"#"1#&&
()./(,-)(&31#.""&8+/-t may be made by email to TIPS@TIPS-USA.COM
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! Allovue
919 W 34th St, Box 50008
!Baltimore MD 21211
443-682-9263
Please use 717-940-7359 to reach Authorized Representative 410-705-5169
" laura@allovue.com
" Laura Nord
Vice President of Sales
"
7/1/2020
" Meredith Barton
Chief Operating Officer
"
! $
7/1/2020
ϬŽĨϭϬ
NOTICE TO MEMBERS REGARDING ATTRIBUTE RESPONSES
TIPS VENDORS RESPOND TO ATTRIBUTE QUESTIONS AS PART OF TIPS COMPETITIVE
SOLICITATION PROCESS. THE VENDOR’S RESPONSES TO ATTRIBUTE QUESTIONS
ARE INCLUDED HEREIN AS “SUPPLIER RESPONSE.” PLEASE BE ADVISED THAT
DEVIATIONS, IF ANY, IN VENDOR’S RESPONSE TO ATTRIBUTE QUESTIONS MAY NOT
REFLECT VENDOR’S FINAL ATTRIBUTE RESPONSE, WHICH IS SUBJECT TO
NEGOTIATIONS PRIOR TO AWARD. PLEASE CONTACT THE TIPS OFFICE AT 866-839-
8477 WITH QUESTIONS OR CONCERNS REGARDING VENDOR ATTRIBUTE RESPONSE
DEVIATIONS. PLEASE KEEP IN MIND THAT TIPS DOES NOT PROVIDE LEGAL
COUNSEL TO MEMBERS. TIPS RECOMMENDS THAT YOU CONSULT YOUR LEGAL
COUNSEL WHEN EXECUTING CONTRACTS WITH OR MAKING PURCHASES FROM
TIPS VENDORS.
200105 Addendum 2
Allovue
Supplier Response
Event Information
Number: 200105 Addendum 2
Title: Technology Solutions, Products and Services
Type: Request for Proposal
Issue Date: 1/9/2020
Deadline: 2/21/2020 03:00 PM (CT)
Contact Information
Contact: Kristie Collins
Address: Region 8 Education Service Center
4845 US Highway 271 North
Pittsburg, TX 75686
Phone: +1 (866) 839-8477
Fax: +1 (866) 839-8472
Email: bids@tips-usa.com
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Allovue Information
Contact: Megan Rainbow
Address: 301 W 29th Street
Ste. 2003
Baltimore
Baltimore, MD 21011
Phone: (410) 705-5169
Email: megan@allovue.com
By submitting your response, you certify that you are authorized to represent and bind your company.
Megan Rainbow megan@allovue.com
Signature Email
Submitted at 2/20/2020 2:39:54 PM
Requested Attachments
Vendor Agreement Allovue_200105_Vendor_Agreement.pdf
The vendor must download the Vendor Agreement from the attachment tab, fill in the requested information and uploa
d the completed agreement.
DO NOT UPLOAD encrypted or password protected files.
Agreement Signature Form Allovue_200105_Agreement_Signature_Form.pdf
If you have not taken exception or deviation to the agreement language in the solicitation attributes, download the AG
REEMENT SIGNATURE FORM from the "ATTACHMENTS" tab. This PDF document is a fillable form. Download the doc
ument to your computer, fill in the requested company information, print the file, SIGN the form, SCAN the completed a
nd signed AGREEMENT SIGNATURE FORM, and upload here.
If you have taken exception to any of the agreement language and noted the exception in the deviations section of the
attributes for the agreement, complete the AGREEMENT SIGNATURE FORM, but DO NOT SIGN until those deviations
have been negotiated and resolved with TIPS management. Upload the unsigned form here, because this is a require
d document.
Pricing Spreadsheet #1 Allovue_200105_Pricing_form_1.xlsx
The vendor must download the PRICING SPREADSHEET SHEET from the attachment tab, fill in the requested informa
tion and upload the completed spreadsheet.
DO NOT UPLOAD encrypted or password protected files.
Pricing Spreadsheet #2 Allovue_200105_Pricing_form_2.xlsx
The vendor must download the PRICING SPREADSHEET SHEET from the attachment tab, fill in the requested informa
tion and upload the completed spreadsheet.
DO NOT UPLOAD encrypted or password protected files.
References Allovue_Reference_Form.xls
The vendor must download the References spreadsheet from the attachment tab, fill in the requested information and
upload the completed spreadsheet. DO NOT UPLOAD encrypted or password protected files.
Proposed Goods and Services Proposed Goods and Services _Allovue_2020.pdf
Please upload one or more documents or sheets describing your offerings, line cards, catalogs, links to offerings OR li
st links to your offerings that illustrate the catalog of proposed lines of goods and or services you carry and offer unde
r this proposal. I does not have to be exhaustive but should, at a minimum tell us what you are offering. It could be as
simple as a sheet with your link to your online catalog of goods and services.
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Resellers/Dealers - COMPLETE AND UPLOAD ONLY IF YOU HAVE RESELLER OF YOUR No response
GOODS OR SERVICES PROPOSED
If the PROPOSING vendor has resellers that will be selling for the vendor UNDER this contract, the vendor must downl
oad the Resellers/Dealers spreadsheet from the attachment tab, fill in the requested information and upload the compl
eted spreadsheet.
DO NOT UPLOAD encrypted or password protected files.
HUB Subcontracting Plan Form OPTIONAL No response
Completion of the HUB Subcontracting Plan Form is OPTIONAL. THE FORM INFORMATION HAS NO EFFECT ON YO
UR EVALUATION SCORE. IT IS INFORMATIONAL ONLY. Some Texas State agencies and Universities require it be a p
art of the file when determining if they can use a TIPS contract. If you choose to complete one, it is not project specific
but the general plan the vendor would use. Complete it as best you can.
Vendor can download the HUB Subcontracting Plan Form from the "Attachments" tab and upload their HUB Subcontra
cting Plan Form.
D/M/WBE Certification OPTIONAL No response
D/M/WBE Certification documentation may be scanned and uploaded if you desire to claim your status as one of the i
dentified enterprises. (Disadvantaged Business Enterprise, Minority Business Enterprise and/or Woman Business Ent
erprise) If vendor has more than one certification scan into one document. (PDF Format ONLY)
DO NOT UPLOAD encrypted or password protected files.
HUB Certification OPTIONAL No response
HUB Certification documentation may be scanned and uploaded if you desire to document you status as a HUB compa
ny. (Historically Underutilized Business) (PDF Format ONLY)
DO NOT UPLOAD encrypted or password protected files.
Warranty No response
Warranty information (if applicable) must be scanned and uploaded. (PDF Format ONLY)
DO NOT UPLOAD encrypted or password protected files.
Supplementary Customer Agreement_SAMPLE_Allovue.pdf
Supplementary information may be scanned and uploaded. (Company information, brochures, catalogs, etc.) (PDF Fo
rmat ONLY)
DO NOT UPLOAD encrypted or password protected files.
All Other CERTIFICATE_OF_CONVERSION_AND_INCORPORATION-DE_-_Secretary_of_State-279008-5.pdf
Certificates
All Other Certificates (if applicable) must be scanned and uploaded. If vendor has more than one other certification sc
an into one document. (PDF Format ONLY)
DO NOT UPLOAD encrypted or password protected files.
Logo and Other Company Marks allovue_tips.png
If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any
particular specifications are required for use of your company logo, please upload that information under the Supplem
HQWDU\VHFWLRQRUDQRWKHUQRQUHTXLUHGVHFWLRQXQGHUWKH³5HVSRQVH$WWDFKPHQW´WDEPreferred Logo Format: 300 x 2
25 px - .png, .eps, .jpeg preferred
Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE No response
INSTRUCTIONS
ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS
Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in t
he Base documents or can be found at https://www.tips-usa.com/assets/documents/docs/CIQ.pdf.
Certificate of Corporate Offerer - Allovue_CERTIFICATION_OF_CORPORATE_OFFERER_FORM.pdf
COMPLETE ONLY IF OFFERER IS A
CORPORATION
COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION
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Disclosure of Lobbying Activities Standard Form LLL No response
ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the St
DQGDUG)RUP///³GLVFORVXUH)RUPWR5HSRUW/REE\LQJ´LQWKH5HVSRQVHDWWDFKPHQWVVHFWLRQ
Confidentiality Form Allovue_CONFIDENTIALITY_CLAIM_FORM_rev111819RP.pdf
REQUIRED CONFIDENTIALITY FORM. Complete the form according to your company requirements, make any desire
d attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW
ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS.
Bid Attributes
1 Yes - No
Disadvantaged/Minority/Women Business Enterprise - D/M/WBE (Required by some participating governmental enti
WLHV 9HQGRUFHUWLILHVWKDWWKHLUILUPLVD'0:%("9HQGRUPXVWXSORDGSURRIRIFHUWLILFDWLRQWRWKH´5HVSRQVH$WWDF
KPHQWV´'0:%(&(57,),&$7(6VHFWLRQ
NO
2 Yes - No
Historically Underutilized Business - HUB (Required by some
participating governmental entities) Vendor certifies that
their firm is a HUB as defined by the State of Texas at https://comptroller.texas.gov/purchasing/vendor/hub/
or in a HUBZone as defined by the US Small Business Administration at https://www.sba.gov/offices/headquarters/oh
p
Proof of one or both may be submitted. 9HQGRUPXVWXSORDGSURRIRIFHUWLILFDWLRQWRWKH³5HVSRQVH$WWDFKPHQWV´+8
B CERTIFICATES section.
No
3 Yes - No
The Vendor can provide services and/or products to all 50 US States?
Yes
4 States Served:
If answer is NO to question #3, please list which states can be served. (Example: AR, OK, TX)
No response
5 Company and/or Product Description:
This information will appear on the TIPS website in the company profile section, if awarded a TIPS contract. (Limit 7
50 characters.)
$OORYXH¶VVRIWZDUHSODWIRUP%DODQFHLQWHJUDWHVVHDPOHVVO\ZLWKGLVWULFWV¶H[LVWLQJDFFRXQWLQJV\VWHPVDQGRWKHUGD
ta systems to help educators budget, manage, and evaluate spending via three products: Budget, Manage, and E
valuate. Allovue also provides additional services such as chart of accounts revisions, strategic consulting, financi
al management training, and funding formula revisions.
6 Primary Contact Name
Primary Contact Name
Megan Rainbow
7 Primary Contact Title
Primary Contact Title
Director of Sales Marketing Operations
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8 Primary Contact Email
Primary Contact Email
megan@allovue.com
9 Primary Contact Phone
Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
4436829623
1 Primary Contact Fax
0
Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
No response
1 Primary Contact Mobile
1 Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
No response
1 Secondary Contact Name
2 Secondary Contact Name
Laura Nord
1 Secondary Contact Title
3 Secondary Contact Title
Vice President of Sales
1 Secondary Contact Email
4
Secondary Contact Email
laura@allovue.com
1 Secondary Contact Phone
5 Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
4436829623
1 Secondary Contact Fax
6 Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
No response
1 Secondary Contact Mobile
7
Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
No response
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1 Admin Fee Contact Name
8 Admin Fee Contact Name. This person is responsible for paying the admin fee to TIPS.
Megan Rainbow
1 Admin Fee Contact Email
9 Admin Fee Contact Email
megan@allovue.com
2 Admin Fee Contact Phone
0 Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
4436829623
2 Purchase Order Contact Name
1
Purchase Order Contact Name. This person is responsible for receiving Purchase Orders from TIPS.
Sandy Hart
2 Purchase Order Contact Email
2
Purchase Order Contact Email
shart@scandh.com
2 Purchase Order Contact Phone
3 Enter 10 digit phone number. (No dashes or extensions)
Example: 8668398477
4107858050
2 Company Website
4 Company Website (Format - www.company.com)
allovue.com
2 Federal ID Number:
5
Federal ID Number also known as the Employer Identification Number. (Format - 12-3456789)
61-1704804
2 Primary Address
6
Primary Address
301 W. 29th Street Suite 2003
2 Primary Address City
7 Primary Address City
Baltimore
2 Primary Address State
8 Primary Address State (2 Digit Abbreviation)
MD
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2 Primary Address Zip
9 Primary Address Zip
21211
3 Search Words:
0 Please list search words to be posted in the TIPS database about your company that TIPS website users might sear
ch. Words may be product names, manufacturers, or other words associated with the category of award. YOU MAY
NOT LIST NON-CATEGORY ITEMS. (Limit 500 words) (Format: product, paper, construction, manufacturer name, et
c.)
budget, financial management, k12 budget, k12 finance, essa, allovue, balance, evaluate, budget, manage, report
ing, equity analysis, data, resource allocation
3 Do you want TIPS Members to be able to spend Federal grant funds with you if awarded? Is it your
1 intent to be able to sell to our members regardless of the fund source, whether it be local, state or
federal?
Most of our members receive Federal Government grants and they make up a significant portion of their budgets. T
he members need to know if your company is willing to sell to them when they spend federal budget funds on their p
urchase. There are attributes that follow that are provisions from the federal regulations in 2 CFR part 200. Your an
swers will determine if your award will be designated as Federal or Education Department General Administrative R
egulations (EDGAR)compliant.
Do you want TIPS Members to be able to spend Federal grant funds with you if awarded and is it your intent to be a
ble to sell to our members regardless of the fund source, whether it be local, state or federal?
Yes
3 Yes - No
2 Certification of Residency (Required by the State of Texas) The vendor's ultimate parent company or majority owner
:
(A) has its principal place of business in Texas;
OR
(B) employs at least 500 persons in Texas?
No
3 Company Residence (City)
3 Vendor's principal place of business is in the city of?
Baltimore
3 Company Residence (State)
4 Vendor's principal place of business is in the state of?
MD
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3 Discount Offered - CAUTION READ CAREFULLY BECAUSE VENDORS FREQUENTLY MAKE MISTAKES
5 ON THIS ATTRIBUTE QUESTION
Remember this is a MINIMUM discount percentage so, be sure the discount percentage inserted here can be applie
d to ANY OFFERING OF GOODS OR SERVICES THROUGH OUT THE LIFE OF THE CONTRACT
CAUTION: BE CERTAIN YOU CAN HONOR THIS MINIMUM DISCOUNT PERCENTAGE ON ANY OFFERED SERVICE
OR GOOD.
What is the MINIMUM percentage discount off of any item or service you offer to TIPS Members that is in your regul
ar catalog (as defined in the RFP document), website, store or shelf pricing? The resulting price of any goods or se
rvices Catalog list prices after this discount is applied is a ceiling on your pricing and not a floor because, in order to
be more competitive in the individual circumstance, you may offer a larger discount depending on the items or servi
ces purchased and the quantity at time of sale. Must answer with a number between 0% and 100%.
10%
3 TIPS administration fee
6 By submitting a proposal, I agree that all pricing submitted to TIPS shall include the participation fee, as designated
in the solicitation or as otherwise agreed in writing and shall be remitted to TIPS by the Vendor as agreed in the Ven
dor agreement. I agree that the fee shall not and will not be added by the vendor as a separate line item on a TIPS
member invoice, quote, proposal or any other written communications with the TIPS member.
3 Yes - No
7
Vendor agrees to remit to TIPS the required administration fee?
7,36(6&5HJLRQLVUHTXLUHGE\7H[DV*RYHUQPHQW&RGHWREHFRPSHQVDWHGIRULWVZRUNDQGWKXVIDLOXUHW
o agree shall render your response void and it will not be considered.
Yes
3 Yes - No
8 Do you offer additional discounts to TIPS members for large order quantities or large scope of work?
No
3 Years Experience
9 Company years experience in this category? This is an evaluation criterion worth a maximum of 10 points. See RFP
for more information.
7
4 Resellers:
0 Does the vendor have resellers that it will name under this contract? Resellers are defined as other companies that
sell your products under an agreement with you, the awarded vendor of TIPS.
EXAMPLE: BIGmart is a reseller of ACME brand televisions. If ACME were a TIPS awarded vendor, then ACME woul
d list BIGmart as a reseller.
(If applicable, vendor should download the Reseller/Dealers spreadsheet from the Attachments section, fill out the f
RUPDQGVXEPLWWKHGRFXPHQWLQWKH´5HVSRQVH$WWDFKPHQWV´5(6(//(56VHFWLRQ
No
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4 Pricing discount percentage are guaranteed for?
1 Does the vendor agrees to honor the proposed pricing discount percentage off regular catalog (as defined in the R
FP document), website, store or shelf pricing for the term of the award?
YES
4 Right of Refusal
2 Does the proposing vendor wish to reserve the right not to perform under the awarded agreement with a TIPS mem
ber at vendor's discretion?
No
4 NON-COLLUSIVE BIDDING CERTIFICATE
3 By submission of this bid or proposal, the Bidder certifies that:
1) This bid or proposal has been independently arrived at without collusion with any other Bidder or with any Compe
titor;
2) This bid or proposal has not been knowingly disclosed and will not be knowingly disclosed, prior to the opening of
bids, or proposals for this project, to any other Bidder, Competitor or potential competitor:
3) No attempt has been or will be made to induce any other person, partnership or corporation to submit or not to s
ubmit a bid or proposal;
4) The person signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the
statements contained in this certification, and under the penalties being applicable to the Bidder as well as to the pe
rson signing in its behalf.
Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered.
4 CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ - Do you have any CONFLICT OF INTEREST
4 TO REPORT OR DISCLOSE under this statutory requirement?
Do you have any CONFLICT OF INTEREST TO REPORT OR DISCLOSE under this statutory requirement? YES or
NO
If you have a conflict of interest as described in this form or the Local Government Code Chapter 176, cited therein-
you are required to complete and file with TIPS.
You may find the Blank CIQ form on our website at:
Copy and Paste the following link into a new browser or tab:
https://www.tips-usa.com/assets/documents/docs/CIQ.pdf
There is an optional upload for this form provided if you have a conflict and must file the form.
No
4 Filing of Form CIQ
5 If yes (above), have you filed a form CIQ by uploading the form to this RFP as directed above?
No response
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
4 Regulatory Standing
6 I certify to TIPS for the proposal attached that my company is in good standing with all governmental agencies Fede
ral or state that regulate any part of our business operations. If not, please explain in the next attribute question.
Yes
4 Regulatory Standing
7 Regulatory Standing explanation of no answer on previous question.
No response
4 $QWLWUXVW&HUWLILFDWLRQ6WDWHPHQWV 7H[*RYHUQPHQW&RGH
8
By submission of this bid or proposal, the Bidder certifies that:
I affirm under penalty of perjury of the laws of the State of Texas that:
(1) I am duly authorized to execute this contract on my own behalf or on behalf of the company, corporation, firm, pa
rtnership or individual (Company) listed below;
(2) In connection with this bid, neither I nor any representative of the Company has violated any provision of the Tex
as Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15;
(3) In connection with this bid, neither I nor any representative of the Company has violated any federal antitrust law
;
(4) Neither I nor any representative of the Company has directly or indirectly communicated any of the contents of t
his bid to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged i
n the same line of business as the Company.
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
4 Suspension or Debarment Instructions
9 Instructions for Certification:
1. By answering yes to the next Attribute question below, the vendor and prospective lower tier participant is providi
ng the certification set out herein in accordance with these instructions.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this trans
action was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an err
oneous certification in addition to other remedies available to the federal government, the department or agency wit
h which this transaction originated may pursue available remedies, including suspension and / or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal i
s submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submi
tted or has become erroneous by reason of changed circumstances.
7KHWHUPV³FRYHUHGWUDQVDFWLRQ´³GHEDUUHG´³VXVSHQGHG´³LQHOLJLEOH´³ORZHUWLHUFRYHUHGWUDQVDFWLRQ´³SDUWLFLSD
QWV´³SHUVRQ´³SULPDU\FRYHUHGWUDQVDFWLRQ´³SULQFLSDO´³SURSRVDO´DQG³YROXQWDULO\H[FOXGHG´DVXVHGLQWKLVFODXV
e, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 1254
9. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regula
tions.
5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transacti
on be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred
, suspended, declared ineligible or voluntarily excluded from participation in this covered transaction, unless authori
zed by the department or agency with which this transaction originated.
7KHSURVSHFWLYHORZHUWLHUSDUWLFLSDQWIXUWKHUDJUHHVE\VXEPLWWLQJWKLVIRUPWKDWLWZLOOLQFOXGHWKLVFODXVHWLWOHG³&
ertification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction
´ZLWKRXWPRGLILFDWLRQLQDOOORZHUWLHUFRYHUHGWUDQVDFWLRQVDQGLQDOOVROLFLWDWLRQVIRUORZHUWLHUFRYHUHGWUDQVDFWLRQV
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier cove
red transaction that it is not debarred, suspended, ineligible or voluntarily excluded from the covered transaction, u
nless it knows that the certification is erroneous. A participant may decide the method and frequency by which it det
ermines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is not r
equired to exceed that which is normally possessed by a prudent person in the ordinary course of business dealing
s.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transacti
on knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible or vol
untarily excluded from participation in this transaction, in addition to other remedies available to the federal govern
ment, the department or agency with which this transaction originated may pursue available remedies, including sus
pension and / or debarment.
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
5 Suspension or Debarment Certification
0 By answering yes, you certify that no federal suspension or debarment is in place, which would preclude receiving a
federally funded contract as described above.
'HEDUPHQWDQG6XVSHQVLRQ ([HFXWLYH2UGHUVDQG ²$FRQWUDFWDZDUG VHH&)5 PXVWQR
t be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accor
dance with the OMB guidelines at 2 CFR 180 that implement Executive
2UGHUV &)5SDUW&RPSS DQG &)5SDUW&RPSS ³'HEDUPHQWDQG6XV
SHQVLRQ´6$0([FOXVLRQVFRQWDLQVWKHQDPHVRISDUWLHVGHEDUUHGVXVSHQGHGRURWKHUZLVHH[FOXGHGE\DJHQFLHV
as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.
By answering yes, you certify that no federal suspension or debarment is in place, which would preclude receiving a
federally funded contract as described above.
Yes
5 Non-Discrimination Statement and Certification
1 In accordance with Federal civil rights law, all U.S. Departments, including the U.S. Department of Agriculture (USDA
) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating i
n or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion,
sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental
status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil right
s activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies a
nd complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, larg
e print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Cent
er at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additi
onally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, fo
und online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to
USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form,
call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Offic
e of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fa
x: (202) 690-7442; or (3)
email: program.intake@usda.gov.
(Title VI of the Education Amendments of 1972; Section 504 of the Rehabilitation Act of 1973; the Age Discriminatio
n Act of 1975; Title 7 CFR Parts 15, 15a, and 15b; the Americans with Disabilities Act; and FNS Instruction 113-1, Ci
YLO5LJKWV&RPSOLDQFHDQG(QIRUFHPHQW±1XWULWLRQ3URJUDPVDQG$FWLYLWLHV
All U.S. Departments, including the USDA are equal opportunity provider, employer, and lender.
Not a negotiable term. Failure to agree by answering YES will render your proposal non-responsive and it will not be
considered. I certify that in the performance of a contract with TIPS or its members, that our company will conform to
the foregoing anti-discrimination statement and comply with the cited and all other applicable laws and regulations.
Yes
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
5 2 CFR PART 200 Contract Provisions Explanation
2 Required Federal contract provisions of Federal Regulations for Contracts for contracts with ESC Region 8 and TIP
S Members:
The following provisions are required to be in place and agreed if the procurement is funded in any part with federal
funds.
The ESC Region 8 and TIPS Members are the subgrantee or Subrecipient by definition. Most of the provisions are l
RFDWHGLQ&)53$57$SSHQGL[,,WR3DUW²&RQWUDFW3URYLVLRQVIRU1RQ)HGHUDO(QWLW\&RQWUDFWV8QGHU)
ederal Awards at 2 CFR PART 200. Others are included within 2 CFR part 200 et al.
In addition to other provisions required by the Federal agency or non-Federal entity, all contracts made by the non-
Federal entity under the Federal award must contain provisions covering the following, as applicable.
5 2 CFR PART 200 Contracts
3 Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Co
uncils) as authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances wh
ere contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Notice: Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region
8 and TIPS Members reserves all rights and privileges under the applicable laws and regulations with respect to this
procurement in the event of breach of contract by either party.
Does vendor agree?
Yes
5 2 CFR PART 200 Termination
4
Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be eff
ected and the basis for settlement. (All contracts in excess of $10,000)
Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and
TIPS Members reserves the right to terminate any agreement in excess
of $10,000 resulting from this procurement process for cause after giving the vendor an appropriate opportunity an
d up to 30 days, to cure the causal breach of terms and conditions. ESC Region 8 and
TIPS Members reserves the right to terminate any agreement in excess of $10,000 resulting from this procurement
process for convenience with 30 days notice in writing to the awarded vendor. The vendor
would be compensated for work performed and goods procured as of the termination date if for convenience of the
ESC Region 8 and TIPS Members. Any award under this procurement process is not exclusive and the ESC Region
8 and TIPS reserves the right to purchase goods and services from other vendors when it is in the best interest of t
he ESC Region 8 and TIPS.
Does vendor agree?
Yes
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
5 2 CFR PART 200 Clean Air Act
5 Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amen
GHG²&RQWUDFWVDQGVXEJUDQWVRIDPRXQWVLQH[FHVVRIPXVWFRQWDLQDSURYLVLRQWKDWUHTXLUHVWKHQRQ)H
deral award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air
Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violati
ons must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Age
ncy (EPA).
Pursuant to the Clean Air Act, et al above, when federal funds are expended by ESC Region 8 and TIPS Members,
ESC Region 8 and TIPS Members requires that the proposer certify that during the term of
an award by the ESC Region 8 and TIPS Members resulting from this procurement process the vendor agrees to co
mply with all of the above regulations, including all of the terms listed and referenced therein.
Does vendor agree?
Yes
5 2 CFR PART 200 Byrd Anti-Lobbying Amendment
6 %\UG$QWL/REE\LQJ$PHQGPHQW 86& ²&RQWUDFWRUVWKDWDSSO\RUELGIRUDQDZDUGH[FHHGLQJ
must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appro
priated funds to pay any person or organization for influencing or attempting to influence an officer or employee of
any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier mus
t also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award
. Such disclosures are forwarded from tier to tier up to the non-Federal award.
Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and
TIPS Members requires the proposer certify that during the term and during the life of any contract with ESC Region
8 and TIPS Members resulting from this procurement process the vendor certifies to the terms included or referenc
ed herein.
Does vendor agree?
Yes
5 2 CFR PART 200 Federal Rule
7 Compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42
U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental P
rotection Agency regulations (40 CFR part 15). (Contracts, subcontracts, and subgrants of amounts in excess of $1
00,000)
Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and
TIPS Members requires the proposer certify that in performance of the contracts, subcontracts, and subgrants of a
mounts in excess of $100,000, the vendor will be in compliance with all applicable standards, orders, or requirement
s issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C.
1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15).
Does vendor certify that it is in compliance with the Clean Air Act?
Yes
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
5 2 CFR PART 200 Procurement of Recovered Materials
8 A non-Federal entity that is a state agency or agency of a political subdivision of a state and its contractors must co
mply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery
Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental P
rotection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable,
consistent with
maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value o
f the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management servi
ces in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement progra
m for procurement of recovered materials identified in the EPA guidelines.
Does vendor certify that it is in compliance with the Solid Waste Disposal Act as described above?
Yes
5 Certification Regarding Lobbying
9 Applicable to Grants, Subgrants, Cooperative Agreements, and Contracts Exceeding $100,000 in Federal Funds
Submission of this certification is a prerequisite for making or entering into this transaction and is imposed by sectio
n 1352, Title 31, U.S. Code. This certification is a material representation of fact upon which reliance was placed wh
en this transaction was made or entered into. Any person who fails to file the required certification shall be subject t
o a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or
employee of congress, or an employee of a Member of Congress in connection with the awarding of a Federal contr
act, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and th
e extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative ag
reement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing
or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of c
ongress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement,
WKHXQGHUVLJQHGVKDOOFRPSOHWHDQGVXEPLW6WDQGDUG)RUP///³GLVFORVXUH)RUPWR5HSRUW/REE\LQJ´LQDFFRUGDQ
ce with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all c
overed subawards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certif
y and disclose accordingly.
I HAVE NOT Lobbied per above
6 If you answered "I HAVE lobbied per above to the previous question.
0
IF you answered "I HAVE lobbied" per above Attribute question, you must download the Lobbying Report "Standard
From LLL, disclosure Form to Report Lobbying" which includes instruction on completing the form, complete and su
bmit it in the Response Attachments section as a report of the lobbying activities you performed or paid others to pe
rform.
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
6 Subcontracting with small and minority businesses, women's business enterprises, and labor surplus
1 area firms.
Do you ever anticipate the possibility of subcontracting any of your work under this award if you are successful?
IF NO, DO NOT ANSWER THE NEXT ATTRIBUTE QUESTION. . IF YES, and ONLY IF YES, you must answer the nex
t question YES if you want a TIPS Member to be authorized to spend Federal Grant Funds for Procurement.
NO
6 ONLY IF YES TO THE PREVIOUS QUESTION OR if you ever do subcontract any part of your
2 performance under the TIPS Agreement, do you agree to comply with the following federal
requirements?
ONLY IF YES TO THE PREVIOUS QUESTION OR if you ever do subcontract any part of your performance under th
e TIPS Agreement,
do you agree to comply with the following federal requirements?
)HGHUDO5HJXODWLRQ&)5&RQWUDFWLQJZLWKVPDOODQGPLQRULW\EXVLQHVVHVZRPHQ VEXVLQHVVHQWHUSULVHV
and labor surplus area firms. (a)The non-Federal entity must take all necessary affirmative steps to assure that min
ority businesses, women's business enterprises, and labor surplus area firms are used when possible.
(b) Affirmative steps must include:(1) Placing qualified small and minority businesses and women's business enterpr
ises on solicitation lists;
(2) Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are
potential sources;
(3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum partic
ipation by small and minority businesses, and women's business enterprises;
(4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and min
ority businesses, and women's business enterprises;
(5) Using the services and assistance, as appropriate, of such organizations as the Small Business Administration a
nd the Minority Business Development Agency of the Department of Commerce ; and
(6) Requiring the prime contractor, if subcontracts are to be let, to take the affirmative steps listed in paragraphs(1)
through (5) of this section.
YES
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
6 Indemnification
3 The ESC Region 8 and TIPS is a Texas Political Subdivision and a local governmental entity; therefore, is prohibited
from
indemnifying third parties pursuant to the Texas Constitution (Article 3, Section 52) except as specifically provided b
y law or as
ordered by a court of competent jurisdiction. A provision in a contract to indemnify or hold a party harmless is a pro
mise to pay for
any expenses the indemnified party incurs, if a specified event occurs, such as breaching the terms of the contract
or negligently
performing duties under the contract. Article III, Section 49 of the Texas Constitution states that "no debt shall be cre
ated by or on
behalf of the State ... " The Attorney General has counseled that a contractually imposed obligation of indemnity cre
ates a "debt" in
the constitutional sense. Tex. Att'y Gen. Op. No. MW-475 (1982). Contract clauses which require the System or insti
tutions to
indemnify must be deleted or qualified with ''to the extent permitted by the Constitution and Laws of the State of Tex
as." Liquidated
damages, attorney's fees, waiver of vendor's liability, and waiver of statutes of limitations clauses should also be del
eted or qualified
with "to the extent permitted by the Constitution and laws of State of Texas."
Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered. Do y
ou agree
to these terms?
Yes
6 Remedies
4 The parties shall be entitled to exercise any right or remedy available to it either at law or in equity, subject to the ch
oice of law, venue
and service of process clauses limitations agreed herein. Nothing in this agreement shall commit the TIPS to an arbi
tration resolution
of any disagreement under any circumstances. Any Claim arising out of or related to the Contract, except for those
specifically waived
under the terms of the Contract, may, after denial of the Board of Directors, be subject to mediation at the request o
f either party. Any
issues not resolved hereunder MAY be referred to non-binding mediation to be conducted by a mutually agreed up
on mediator as a
SUHUHTXLVLWHWRWKHILOLQJRIDQ\ODZVXLWRYHUVXFKLVVXH V 7KHSDUWLHVVKDOOVKDUHWKHPHGLDWRU¶VIHHDQGDQ\DVVRFL
ated filing fee
equally. Mediation shall be held in Camp or Titus County, Texas. Agreements reached in mediation shall be reduced
to writing, and
will be subject to the approval by the District's Board of Directors, signed by the Parties if approved by the Board of
Directors, and, if
signed, shall thereafter be enforceable as provided by the laws of the State of Texas.
Do you agree to these terms?
Yes, I Agree
6 Remedies Explanation of No Answer
5
No response
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
6 Choice of Law
6 The agreement between the Vendor and TIPS/ESC Region 8 and any addenda or other additions resulting from this
procurement process, however described, shall be governed by, construed and enforced in accordance with the law
s of the State of Texas, regardless of any conflict of laws principles.
THIS DOES NOT APPLY to a vendor's agreement entered into with a TIPS Member, as the Member may be located
outside Texas.
Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered. Do y
ou agree to these terms?
Yes
6 Jurisdiction and Service of Process
7 Any Proceeding arising out of or relating to this procurement process or any contract issued by TIPS resulting from
or any
contemplated transaction shall be brought in a court of competent jurisdiction in Camp County, Texas and each of th
e parties
irrevocably submits to the exclusive jurisdiction of said court in any such proceeding, waives any objection it may no
w or hereafter
have to venue or to convenience of forum, agrees that all claims in respect of the Proceeding shall be heard and de
termined only in
any such court, and agrees not to bring any proceeding arising out of or relating to this procurement process or an
y contract resulting
from or any contemplated transaction in any other court. The parties agree that either or both of them may file a co
py of this paragraph
with any court as written evidence of the knowing, voluntary and freely bargained for agreement between the partie
s irrevocably to
waive any objections to venue or to convenience of forum. Process in any Proceeding referred to in the first senten
ce of this Section
may be served on any party anywhere in the world. Venue clauses in contracts with TIPS members may be determin
ed by the parties.
Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered. Do y
ou agree to these terms?
Yes
6 Infringement(s)
8
The successful vendor will be expected to indemnify and hold harmless the TIPS and its employees, officers, agents
, representatives, contractors, assignees and designees from any and all third party claims and judgments involving
infringement of patent, copyright, trade secrets, trade or service marks, and any other intellectual or intangible prop
HUW\ULJKWVDWWULEXWHGWRRUFODLPVEDVHGRQWKH9HQGRU VSURSRVDORU9HQGRU¶VSHUIRUPDQFHRIFRQWUDFWVDZDUGHGDQ
d approved.
Do you agree to these terms?
Yes, I Agree
6 Infringement(s) Explanation of No Answer
9
No response
7 Contract Governance
0 Any contract made or entered into by the TIPS is subject to and is to be governed by Section 271.151 et seq, Tex L
oc Gov't Code. Otherwise, TIPS does not waive its governmental immunities from suit or liability except to the extent
expressly waived by other applicable laws in clear and unambiguous language.
Yes
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
7 Payment Terms and Funding Out Clause
1 Payment Terms:
TIPS or TIPS members shall not be liable for interest or late payment fees on past due balances at a rate higher tha
n permitted by the laws or regulations of the jurisdiction of the TIPS Member.
Funding Out Clause:
9HQGRUDJUHHVWRDELGHE\WKHODZVDQGUHJXODWLRQVLQFOXGLQJ7H[DV/RFDO*RYHUQPHQW&RGHRUDQ\VWD
tutory or regulatory limitations of the jurisdiction of any TIPS Member which governs contracts entered into by the V
endor and TIPS or a TIPS Member that requires all contracts approved by TIPS or a TIPS Member are subject to th
e budgeting and appropriation of currently available funds by the entity or its governing body.
See statute(s) for specifics or consult your legal counsel.
Not a negotiable term. Failure to agree will render your proposal non-responsive and it will not be considered.
Do you agree to these terms?
Yes
7 Insurance and Fingerprint Requirements Information
2 Insurance
If applicable and your staff will be on TIPS member premises for delivery, training or installation etc. and/or with an a
utomobile, you must carry automobile insurance as required by law. You may be asked to
provide proof of insurance.
Fingerprint
It is possible that a vendor may be subject to Chapter 22 of the Texas Education Code. The Texas Education Code,
Chapter 22, Section 22.0834. Statutory language may be found at: http://www.statutes.legis.state.tx.us/
If the vendor has staff that meet both of these criterion:
(1) will have continuing duties related to the contracted services; and
(2) has or will have direct contact with students
7KHQ\RXKDYH´FRYHUHG´HPSOR\HHVIRUSXUSRVHVRIFRPSOHWLQJWKHDWWDFKHGIRUP
TIPS recommends all vendors consult their legal counsel for guidance in compliance with this law. If you have questi
ons on how to comply, see below. If you have questions on compliance with this code section, contact the Texas Dep
artment of Public Safety Non-Criminal Justice Unit, Access and Dissemination Bureau, FAST-FACT at
NCJU@txdps.state.tx.us and you should send an email identifying you as a contractor to a Texas Independent Scho
ol District or ESC Region 8 and TIPS. Texas DPS phone number is (512) 424-2474.
See form in the next attribute to complete entitled:
Texas Education Code Chapter 22 Contractor Certification for Contractor Employees
3DJHRISDJHV 9HQGRU$OORYXH $GGHQGXP
7 Texas Education Code Chapter 22 Contractor Certification for Contractor Employees
3 Introduction: Texas Education Code Chapter 22 requires entities that contract with school districts to provide service
s to obtain criminal history record information regarding covered employees. Contractors must certify to the district t
hat they have complied. Covered employees with disqualifying criminal histories are prohibited from serving at a sch
ool district.
Definitions: Covered employees: Employees of a contractor or subcontractor who have or will have continuing dutie
s related to the service to be performed at the District and have or will have direct contact with students. The District
will be the final arbiter of what constitutes direct contact with students. Disqualifying criminal history: Any conviction
or other criminal history information designated by the District, or one of the following offenses, if at the time of the o
ffense, the victim was under 18 or enrolled in a public school:
(a) a felony offense under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as
a sex offender under Chapter 62, Texas Code of Criminal Procedure; or (c) an equivalent offense under federal law
or the laws of another state.
I certify that:
NONE (Section A) of the employees of Contractor and any subcontractors are covered employees, as defined abo
ve. If this box is checked, I further certify that Contractor has taken precautions or imposed conditions to ensure tha
t the employees of Contractor and any subcontractor will not become covered employees. Contractor will maintain t
hese precautions or conditions throughout the time the contracted services are provided.
OR
SOME (Section B) or all of the employees of Contractor and any subcontractor are covered employees. If this box
is checked, I further certify that:
(1) Contractor has obtained all required criminal history record information regarding its covered employees. None
of the covered employees has a disqualifying criminal history.
(2) If Contractor receives information that a covered employee subsequently has a reported criminal history, Contra
ctor will immediately remove the covered employee from contract duties and notify the District in writing within 3 busi
ness days.
(3) Upon request, Contractor will provide the District with the name and any other requested information of covered
employees so that the District may obtain criminal history record information on the covered employees.
(4) If the District objects to the assignment of a covered employee on the basis of the covered employee's criminal h
istory record information, Contractor agrees to discontinue using that covered employee to provide services at the
District.
Noncompliance or misrepresentation regarding this certification may be grounds for contract termination.
None
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7 7H[DV%XVLQHVVDQG&RPPHUFH&RGH5HTXLUHPHQWVDVRI
4 SB 807 prohibits construction contracts to have provisions requiring the contract to be subject to the laws of anothe
r state, to be required to litigate the contract in another state, or to require arbitration in another state. A contract wit
KVXFKSURYLVLRQVLVYRLGDEOH8QGHUWKLVQHZVWDWXWHD³FRQVWUXFWLRQFRQWUDFW´LQFOXGHVFRQWUDFWVVXEFRQWUDFWVRU
agreements with (among others) architects, engineers, contractors, construction managers, equipment lessors, or
materials suppliers. ³&RQVWUXFWLRQFRQWUDFWV´DUHIRUWKHGHVLJQFRQVWUXFWLRQDOWHUDWLRQUHQRYDWLRQUHPRGHOLQJRU
repair of any building or improvement to real property, or for furnishing materials or equipment for the project. The t
erm also includes moving, demolition, or excavation. BY RESPONDING TO THIS SOLICITATION, AND WHEN APPLI
&$%/(7+(352326(5$*5((672&203/<:,7+7+(7(;$6%86,1(66$1'&200(5&(&2'(:+
EN EXECUTING CONTRACTS WITH TIPS MEMBERS THAT ARE TEXAS GOVERNMENT ENTITIES.
7 Texas Government Code 2270 Verification Form
5
Texas Government Code 2270 Verification Form
Texas 2017 House Bill 89 has been signed into law by the governor and as of September 1, 2017 will be codified as
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The relevant section addressed by this form reads as follows:
Texas Government Code Sec. 2270.002. PROVISION REQUIRED IN CONTRACT. A governmental entity may not ent
er into a contract with a company for goods or services unless the contract contains a written verification from the c
ompany that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract.engaged by
ESC Region 8/The Interlocal Purchasing System (TIPS)
4845 Highway 271 North
Pittsburg,TX,75686
verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycot
t Israel during the term of this contract, or any contract with the above-named Texas governmental entity in the futur
e. ,IXUWKHUDIILUPWKDWLIRXUFRPSDQ\¶VSRVLWLRQRQWKLVLVVXHLVUHYHUVHGDQGWKLVDIILUPDWLRQLVQRORQJHUYDOLGWKDWW
he above-named Texas governmental entity will be notified in writing within one (1) business day and we understand
WKDWRXUFRPSDQ\¶VIDLOXUHWRDIILUPDQGFRPSO\ZLWKWKHUHTXLUHPHQWVRI7H[DV*RYHUQPHQW&RGHHWVHTVKDOO
be grounds for immediate contract termination without penalty to the above-named Texas governmental entity.
AND
our company is not listed on and we do not do business with companies that are on the the Texas Comptroller of Pu
blic Accounts list of Designated Foreign Terrorists Organizations per Texas Gov't Code 2270.0153 found at https://c
omptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf
I swear and affirm that the above is true and correct.
YES
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7 Logos and other company marks
6 Please upload your company logo to be added to your individual profile page on the TIPS website. If any particular
specifications are required for use of your company logo, please upload that information under the "Logo and Other
&RPSDQ\0DUNVVHFWLRQXQGHUWKH³5HVSRQVH$WWDFKPHQW´WDEPreferred Logo Format: 300 x 225 px - .png, .eps, .
jpeg preferred
Potential uses of company logo:
* Your Vendor Profile Page of TIPS website
* Potentially on TIPS website scroll bar for Top Performing Vendors
* TIPS Quarterly eNewsletter sent to TIPS Members
* Co-branding Flyers and or email blasts to our TIPS Members (Permission and approval will be obtained before pu
blishing)
7 Solicitation Deviation/Compliance
7 Does the vendor agree with the General Conditions Standard Terms and
Conditions or Item Specifications listed in this proposal invitation?
No
7 Solicitation Exceptions/Deviations Explanation
8 If the bidder intends to deviate from the General Conditions Standard Terms and Conditions or Item Specifications li
sted in this proposal invitation, all such deviations must be listed on this attribute, with complete and detailed conditi
ons and information included or attached.
TIPS will consider any deviations in its proposal award decisions, and TIPS reserves the right to accept or reject any
bid based upon any deviations indicated below or in any attachments or inclusions.
In the absence of any deviation entry on this attribute, the proposer assures TIPS of their full compliance with the St
andard Terms and Conditions, Item Specifications, and all other information contained in this Solicitation.
Allovue has a separate terms and conditions agreement to provide to TIPS Members when purchasing Allovue's s
oftware and/or services. It has been uploaded in the Response Attachments under "Supplementary."
Allovue does not carry Automobile Liability insurance as it is not applicable to the work that we do or provide to our
customers. For the size company that we are, our General Liability insurance covers Workers Compensation and
as such, a separate policy is not in use. Further, given the total number of employees staffed at Allovue, General L
iability policy is of a generous size where Umbrella Insurance isn't a policy that Allovue presently holds.
7 Agreement Deviation/Compliance
9 Does the vendor agree with the language in the Vendor Agreement?
Yes
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8 Agreement Exceptions/Deviations Explanation
0 If the proposing Vendor desires to deviate form the Vendor Agreement language, all such deviations must be listed
on this attribute, with complete and detailed conditions and information included. TIPS will consider any deviations in
its proposal award decisions, and TIPS reserves the right to accept or reject any proposal based upon any deviatio
ns indicated below. In the absence of any deviation entry on this attribute, the proposer assures TIPS of their full co
mpliance with the Vendor Agreement.
No response
8 Felony Conviction Notice
1
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entity that enters into a contract with a school district must give advance notice to the district if the person or an own
er or operator of the business entity has been convicted of a felony. The notice must include a general description
RIWKHFRQGXFWUHVXOWLQJLQWKHFRQYLFWLRQRIDIHORQ\´6XEVHFWLRQ E VWDWHV³DVFKRROGLVWULFWPD\WHUPLQDWHDFRQWUD
ct with a person or business entity if the district determines that the person or business entity failed to give notice as
required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate
WKHSHUVRQRUEXVLQHVVHQWLW\IRUVHUYLFHVSHUIRUPHGEHIRUHWKHWHUPLQDWLRQRIWKHFRQWUDFW´ F This section does n
ot apply to a publicly held corporation. The person completing this proposal certifies that they are authorized to pro
vide the answer to this question.
Select A., B. or C.
A. My firm is a publicly held corporation; therefore, this reporting requirement is not applicable.
OR B.My firm is not owned nor operated by anyone who has been convicted of a felony, OR
C. My firm is owned or operated by the following individual(s) who has/have been convicted of a felony. (if you answ
er C below, you are required to provide information in the next attribute.
B. Firm not owned nor operated by felon; per above
8 If you answered C. My Firm is owned or operated by a felon to the previous question, you are
2 REQUIRED TO ANSWER THE FOLLOWING QUESTIONS.
If you answered C. My Firm is owned or operated by a felon to the previous question, you must provide the following
information.
1. Name of Felon(s)
2. The named person's role in the firm, and
3. Details of Conviction(s).
No response
8 Long Term Cost Evaluation Criterion # 4.
3 READ CAREFULLY and see in the RFP document under "Proposal Scoring and Evaluation".
Points will be assigned to this criterion based on your answer to this Attribute. Points are awarded if you agree not i
ncrease your catalog prices (as defined herein) more than X% annually over the previous year for years two and thr
ee and potentially year four, unless an exigent circumstance exists in the marketplace and the excess price increase
which exceeds X% annually is supported by documentation provided by you and your suppliers and shared with TIP
S, if requested. If you agree NOT to increase prices more than 5%, except when justified by supporting documentati
on, you are awarded 10 points; if 6% to 14%, except when justified by supporting documentation, you receive 1 to 9
points incrementally. Price increases 14% or greater, except when justified by supporting documentation, receive 0
points.
increases will be 5% or less annually per question
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8 Required Confidentiality Claim Form
4 Required Confidentiality Claim Form
This completed form is required by TIPS. By submitting a response to this solicitation you agree to download from th
H³$WWDFKPHQWV´VHFWLRQFRPSOHWHDFFRUGLQJWRWKHLQVWUXFWLRQVRQWKHIRUPWKHQXSORDGLQJWKHFRPSOHWHGIRUPZLW
KDQ\FRQILGHQWLDODWWDFKPHQWVLIDSSOLFDEOHWRWKH³5HVSRQVH$WWDFKPHQWV´VHFWLRQWLWOHG³&RQILGHQWLDOLW\)RUP´LQ
RUGHUWRSURYLGHWR7,36WKHFRPSOHWHGIRUPWLWOHG³&21),'(17,$/,7<&/$,0)250´%\FRPSOHWLQJWKLVSURFHVV
you provide us with the information we require to comply with the open record laws of the State of Texas as they ma
y apply to your proposal submission. If you do not provide the form with your proposal, an award will not be made if
your proposal is qualified for an award, until TIPS has an accurate, completed form from you.
Read the form carefully before completing and if you have any questions, email Rick Powell at TIPS at rick.powell@t
ips-usa.com
8 Choice of Law clauses with TIPS Members
5 If the vendor is awarded a contract with TIPS under this solicitation, the vendor agrees to make any Choice of Law c
lauses in any contract or agreement entered into between the awarded vendor and with a TIPS member entity to re
ad as follows: "Choice of law shall be the laws of the state where the customer resides" or words to that effect.
Agreed
8 Venue of dispute resolution with a TIPS Member
6 In the event of litigation or use of any dispute resolution model when resolving disputes with a TIPS member entity a
s a result of a transaction between the vendor and TIPS or the TIPS member entity, the Venue for any litigation or ot
her agreed upon model shall be in the state and county where the customer resides unless otherwise agreed by the
parties at the time the dispute resolution model is decided by the parties.
Agreed
8 Automatic renewal of contracts or agreements with TIPS or a TIPS member entity
7 This clause DOES NOT prohibit multiyear contracts or agreements with TIPS member entities.
Because TIPS and TIPS members are governmental entities subject to laws that control appropriations of funds dur
ing their fiscal years for contracts and agreements to provide goods and services, does the Vendor agree to limit an
y automatic renewal clauses of a contract or agreement executed as a result of this TIPS solicitation award to not lo
nger than "month to month" and at the TIPS contracted rate.
Agreed
8 Indemnity Limitation with TIPS Members
8 Texas and other states restrict by law or state Constitution the ability of a governmental entity to indemnify others. TI
PS requires that any contract entered into between a vendor and TIPS or a TIPS Member as a result of an award u
nder this Solicitation limit the requirement that the Customer indemnify the Vendor by either eliminating any such ind
emnity requirement clauses in any agreements, contracts or other binding documents OR by prefacing all indemnity
clauses required of TIPS or the TIPS Member entity with the following: "To the extent permitted by the laws or the Co
nstitution of the state where the customer resides, ".
Agreement is a required condition to award of a contract resulting from this Solicitation.
Agreed
8 Arbitration Clauses
9 Except for certain circumstances, TIPS forbids a mandatory arbitration clause in any contract or agreement entered
into between the awarded vendor with TIPS or a TIPS member entity. Does the vendor agree to exclude any arbitrati
on requirement in any contracts or agreement entered into between TIPS or a TIPS member entity through an awar
ded contract with TIPS?
Agreed
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9 Required Vendor Sales Reporting
0 By responding to this Solicitation, you agree to report to TIPS all sales made under any awarded Agreement with TI
PS. Vendor is required to report all sales under the TIPS contract to TIPS. If the TIPS Member entity requesting a pri
ce from the awarded Vendor requests the TIPS contract, Vendor must include the TIPS Contract number on any co
mmunications with the TIPS Member entity. If awarded, you will be provided access to the Vendor Portal. To report s
DOHVORJLQWRWKH7,369HQGRU3RUWDODQGFOLFNRQWKH32¶VDQG3D\PHQWVWDE3DJHVRIWKHVendor Portal User
Guide will walk you through the process of reporting sales to TIPS. Please refer to the TIPS $FFRXQWLQJ)$4¶V for m
ore information about reporting sales and if you have further questions, contact the Accounting Team at accounting
@tips-usa.com. The Vendor or vendor assigned dealers are responsible for keeping record of all sales that go thro
ugh the TIPS Agreement and submitting same to TIPS.
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REFERENCES
Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within
the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE.
You may provide more than three (3) references.
Entity Name Contact Person VALID EMAIL IS REQUIRED Phone
Indianapolis Public Schools Weston young youngw@myips.org 317-226-4428
Schenectady City School District Larry Spring springl@schenectady.k12.ny.us 518-370-8100
Metro Nashville Public Schools Brian Hull brian.hull@mnps.org 615-521-0261